Document Detail

Maternal transport and the perinatal denominator.
MedLine Citation:
PMID:  6684398     Owner:  NLM     Status:  MEDLINE    
In conjunction with an active outreach program, a rural perinatal region of 18,000 deliveries was analyzed. All pregnancies which resulted in the delivery of live-born infants weighing 1,000 to 1,500 gm were reviewed for maternal/fetal risk and eventual neonatal outcome. Analysis included all mothers and infants cared for at regional hospitals as well as those transferred to any tertiary care center in the state system. Thus, an entire "perinatal denominator" for this group of patients at very high risk was identified. Maternal/fetal risk scoring was highest for the group of mothers transferred to the tertiary center prior to delivery. In spite of this increased risk, infant mortality was significantly decreased by delivery at the tertiary care center. It is recommended that other groups of high-risk conditions be evaluated in regional systems only after the entire perinatal denominator has been identified.
T C Miller; M Densberger; J Krogman
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  147     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1983 Sep 
Date Detail:
Created Date:  1983-10-08     Completed Date:  1983-10-08     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  19-24     Citation Subset:  AIM; IM    
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MeSH Terms
Hospitals, Maternity
Infant Mortality*
Infant, Newborn
Infant, Small for Gestational Age
Obstetric Labor Complications / epidemiology*
Outcome and Process Assessment (Health Care)
Regional Medical Programs
Retrospective Studies
Rural Population
Transportation of Patients*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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